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Chapter 1: Burden of Digestive Disorders
Hospital admissions for Clostridium difficile infections
The European Centre for Disease Prevention and Control (ECDC) coordinates the surveillance
of Clostridium difficile (C. diff) infections in acute care hospitals, and has provided data for
years 2016 and 2017 for certain European Union (EU) and European Economic Area (EEA)
countries.108 Incidence rates of hospital admissions for C. diff infections are calculated per
patient-day.
Amongst the 13 countries that are UEG members (as well as England, Scotland and Wales)
the incidence rate of all hospital admissions for C. diff infections ranged from 8.6 per 10,000
patient-days in Poland, to 1.2 per 10,000 patient-days in Wales, in 2016/17.
Differences in incidence rates are apparent according to the presumed origin of infection,
which is based on the date and location of the onset of symptoms. Most of the countries
observed higher incidence rates of hospital admissions for healthcare-associated C. diff
infections compared to community-associated/unknown origin C. diff infections. Exceptions
were France and the Netherlands, which observed similar rates by origin of infection.
Incidence rates of hospital admissions for healthcare-associated C. diff infections ranged from
6.2 per 10,000 patient-days in Poland, to 1.1 per 10,000 patient-days in Scotland (Figure 139),
and community-associated/unknown origin C. diff infections ranged from 1.6 per 10,000
patient-days in England, to 0 in Latvia (Figure 140), in 2016/17.
Disclaimer: Dataset provided by ECDC based on data provided by WHO and Ministries of Health from the
affected countries. The views and opinions of the authors expressed herein do not necessarily state or
reflect those of the ECDC. The accuracy of the authors' statistical analysis and the findings they report are
not the responsibility of ECDC. ECDC is not responsible for conclusions or opinions drawn from the data
provided. ECDC is not responsible for the correctness of the data and for data management, data merging
and data collation after provision of the data. ECDC shall not be held liable for improper or incorrect use of
the data.
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